Please print and complete this order form and send it with a check 
payable to:

        NamesAreCheap.com 
        P. O. Box 3402 
        Palm Desert, CA USA 92261

If paying by credit card, fax this form to (760)406-6131.

Domain Name(s):_______________________________________________________

______________________________________________________________________

First Name:__________________________ Last Name:______________________

Organization Name:____________________________________________________

Address:______________________________________________________________

City:___________________________ State__________ Zip Code_____________

Country:________________________ E-Mail:______________________________

Phone:__________________________ Fax:_________________________________


What type of web hosting account would you like?
 [] None (Advanced Redirection)	FREE	 [] Standard Windows
 [] Basic Plan	 	 	 [] Deluxe Windows
 [] Basic Plus Plan 		 [] Silver (Reseller - Unix or Windows)
 [] Advanced Plan 	 		 [] Gold (Reseller - Unix or Windows)
 [] Enterprise Plan 	 		 [] Gold Plus (Reseller - Unix or Windows)
 [] Blog Plan                                       [] Platinum  (Reseller - Unix or Windows)
 [] Store Plan 			 [] SmarterMail Plan
 [] Windows Plus                                [] Bronze (Reseller - Unix or Windows)


Frontpage Extensions (applies only to hosting accounts)?  Yes[]  or  No[]

Billing option (applies only to hosting accounts)?
 [] Monthly		 [] Quarterly		 [] Annually

 [] I have enclosed a check
 [] I would like to pay by credit card
    Card Type (circle one):  VISA   MASTER CARD  AMERICAN EXPRESS  DISCOVER CARD

Total Amount (USD) : $______________

    Credit Card Number:___________________________

    Expires mm/yy:________________________________

Signature__________________________________    Date___________________